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rs267608309

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 0P and 1B. BP6

The NM_000106.6(CYP2D6):c.269C>T(p.Ala90Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000106 in 1,601,848 control chromosomes in the GnomAD database, including 1 homozygotes. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in Lovd as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.000020 ( 1 hom., cov: 28)
Exomes 𝑓: 0.0000096 ( 0 hom. )

Consequence

CYP2D6
NM_000106.6 missense

Scores

4
10

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.27
Variant links:
Genes affected
CYP2D6 (HGNC:2625): (cytochrome P450 family 2 subfamily D member 6) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and is known to metabolize as many as 25% of commonly prescribed drugs. Its substrates include antidepressants, antipsychotics, analgesics and antitussives, beta adrenergic blocking agents, antiarrythmics and antiemetics. The gene is highly polymorphic in the human population; certain alleles result in the poor metabolizer phenotype, characterized by a decreased ability to metabolize the enzyme's substrates. Some individuals with the poor metabolizer phenotype have no functional protein since they carry 2 null alleles whereas in other individuals the gene is absent. This gene can vary in copy number and individuals with the ultrarapid metabolizer phenotype can have 3 or more active copies of the gene. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2014]
NDUFA6-DT (HGNC:45273): (NDUFA6 divergent transcript)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

BP6
Variant 22-42129821-G-A is Benign according to our data. Variant chr22-42129821-G-A is described in Lovd as [Likely_benign].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CYP2D6NM_000106.6 linkuse as main transcriptc.269C>T p.Ala90Val missense_variant 2/9 ENST00000645361.2
CYP2D6NM_001025161.3 linkuse as main transcriptc.269C>T p.Ala90Val missense_variant 2/8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CYP2D6ENST00000645361.2 linkuse as main transcriptc.269C>T p.Ala90Val missense_variant 2/9 NM_000106.6 P1P10635-1
NDUFA6-DTENST00000439129.5 linkuse as main transcriptn.1718+4414G>A intron_variant, non_coding_transcript_variant 5

Frequencies

GnomAD3 genomes
AF:
0.0000199
AC:
3
AN:
150778
Hom.:
1
Cov.:
28
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000194
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000296
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000429
AC:
1
AN:
232844
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
128398
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000570
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000965
AC:
14
AN:
1451070
Hom.:
0
Cov.:
34
AF XY:
0.00000692
AC XY:
5
AN XY:
722082
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000152
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000633
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
AF:
0.0000199
AC:
3
AN:
150778
Hom.:
1
Cov.:
28
AF XY:
0.0000272
AC XY:
2
AN XY:
73592
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000194
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000296
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000756

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.058
T
BayesDel_noAF
Benign
-0.32
Cadd
Benign
18
Dann
Uncertain
1.0
DEOGEN2
Benign
0.036
T;T;T;T;.
Eigen
Benign
-0.035
Eigen_PC
Benign
-0.066
FATHMM_MKL
Uncertain
0.96
D
M_CAP
Benign
0.026
D
MetaRNN
Uncertain
0.65
D;D;D;D;D
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
1.5
L;L;L;.;L
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.57
T
Vest4
0.23, 0.26, 0.28
MutPred
0.66
Loss of disorder (P = 0.1014);Loss of disorder (P = 0.1014);Loss of disorder (P = 0.1014);.;Loss of disorder (P = 0.1014);
MVP
0.64
MPC
0.33
ClinPred
0.48
T
GERP RS
2.4
Varity_R
0.33
gMVP
0.75

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs267608309; hg19: chr22-42525823; COSMIC: COSV100637304; COSMIC: COSV100637304; API